Transplantation of human kidney organoids elicited a robust allogeneic response in a humanized mouse model

  • Samuel Mon-Wei Yu
  • , John Yongjoon Choi
  • , Jamie Kady
  • , Marina De Cos
  • , Jenny S. Wong
  • , Emily King
  • , Nour Younis
  • , Nadim Al Rahy
  • , Soltan Al Chaar
  • , Houda Djebli
  • , Siawosh Eskandari
  • , Stephen Samuel
  • , Tamara Merhej
  • , Nivedha Sukumar
  • , Jia Ren Lin
  • , Jia Yun Chen
  • , Yilin Xu
  • , Sandro Santagata
  • , Astrid Weins
  • , Melissa Yeung
  • Paolo Cravedi, Kirk N. Campbell, Dario Lemos, Joseph V. Bonventre, Michael A. Brehm, Jamil Azzi

Research output: Contribution to journalArticlepeer-review

Abstract

Human kidney organoids derived from embryonic stem cells (ESCs) or induced pluripotent stem cells (iPSCs) have become novel tools for studying various kidney pathologies. Here, we transplanted ESC-derived kidney organoids into humanized mice with a mature human adaptive immune system developed through thymic education. As judged by histology and immunophenotyping, the transplanted HLA-mismatched kidney organoids trigged a robust alloimmune response, characterized by a dense immune cell infiltrate and enhanced memory T cell phenotype in the allograft 30 days post-transplantation. Multiplexed immunofluorescence revealed expression of functional markers of various immune cell infiltrates in response to organoid allografts, mimicking the T cell-mediated rejection process in humans. This validated our model as a novel platform to study various therapeutic strategies to control alloimmunity. Splenocytes isolated from organoid-transplanted hosts showed an alloantigen-specific memory response against 2D kidney organoids ex vivo. Overall, our study indicates that transplanting kidney organoids in humanized mice may be a valuable tool for studying human allogeneic immunity.

Original languageEnglish
Pages (from-to)1011-1016
Number of pages6
JournalKidney International
Volume107
Issue number6
DOIs
StatePublished - Jun 2025

Keywords

  • human kidney organoids
  • humanized mice model
  • kidney transplantation

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